NPI 1023134731

Intentional Healing Chiropractic & Center for Well-Being PA

Organisation Chiropractor Oak Park, IL

Practice location

Address: 949 Lake St Unit F3, Oak Park, IL 60301-1260
Phone: (612) 202-2866

Authorised official

Name: Tamara Ann Sukup
Title: President
Phone: (612) 202-2866

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 808 (MN)

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Registry record

NPI: 1023134731
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 4 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.